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Search: (WFRF:(Bishop J. A.)) srt2:(2015-2019) > (2018) > Nusinersen versus S...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004575naa a2200649 4500
001oai:gup.ub.gu.se/265106
003SwePub
008240528s2018 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2651062 URI
024a https://doi.org/10.1056/NEJMoa17105042 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Mercuri, E.4 aut
2451 0a Nusinersen versus Sham Control in Later-Onset Spinal Muscular Atrophy
264 1c 2018
520 a BACKGROUND Nusinersen is an antisense oligonucleotide drug that modulates pre-messenger RNA splicing of the survival motor neuron 2 (SMN2) gene. It has been developed for the treatment of spinal muscular atrophy (SMA). METHODS We conducted a multicenter, double-blind, sham-controlled, phase 3 trial of nusinersen in 126 children with SMA who had symptom onset after 6 months of age. The children were randomly assigned, in a 2: 1 ratio, to undergo intrathecal administration of nusinersen at a dose of 12 mg (nusinersen group) or a sham procedure (control group) on days 1, 29, 85, and 274. The primary end point was the least-squares mean change from baseline in the Hammersmith Functional Motor Scale-Expanded (HFMSE) score at 15 months of treatment; HFMSE scores range from 0 to 66, with higher scores indicating better motor function. Secondary end points included the percentage of children with a clinically meaningful increase from baseline in the HFMSE score (>= 3 points), an outcome that indicates improvement in at least two motor skills. RESULTS In the prespecified interim analysis, there was a least-squares mean increase from baseline to month 15 in the HFMSE score in the nusinersen group (by 4.0 points) and a least-squares mean decrease in the control group (by -1.9 points), with a significant between-group difference favoring nusinersen (least-squares mean difference in change, 5.9 points; 95% confidence interval, 3.7 to 8.1; P< 0.001). This result prompted early termination of the trial. Results of the final analysis were consistent with results of the interim analysis. In the final analysis, 57% of the children in the nusinersen group as compared with 26% in the control group had an increase from baseline to month 15 in the HFMSE score of at least 3 points (P< 0.001), and the overall incidence of adverse events was similar in the nusinersen group and the control group (93% and 100%, respectively). CONCLUSIONS Among children with later-onset SMA, those who received nusinersen had significant and clinically meaningful improvement in motor function as compared with those in the control group. (Funded by Biogen and Ionis Pharmaceuticals; CHERISH ClinicalTrials. gov number, NCT02292537.)
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Pediatrik0 (SwePub)302212 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Pediatrics0 (SwePub)302212 hsv//eng
653 a functional motor scale
653 a lumbar puncture
653 a headache
653 a children
653 a severity
653 a backache
653 a protein
653 a trials
653 a General & Internal Medicine
700a Darras, B. T.4 aut
700a Chiriboga, C. A.4 aut
700a Day, J. W.4 aut
700a Campbell, C.4 aut
700a Connolly, A. M.4 aut
700a Iannaccone, S. T.4 aut
700a Kirschner, J.4 aut
700a Kuntz, N. L.4 aut
700a Saito, K.4 aut
700a Shieh, P. B.4 aut
700a Tulinius, Mar,d 1953u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics4 aut0 (Swepub:gu)xtulim
700a Mazzone, E. S.4 aut
700a Montes, J.4 aut
700a Bishop, K. M.4 aut
700a Yang, Q.4 aut
700a Foster, R.4 aut
700a Gheuens, S.4 aut
700a Bennett, C. F.4 aut
700a Farwell, W.4 aut
700a Schneider, E.4 aut
700a De Vivo, D. C.4 aut
700a Finkel, R. S.4 aut
700a Cherish Study Grp, Cherish Study Grp4 aut
710a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för pediatrik4 org
773t New England Journal of Medicineg 378:7, s. 625-635q 378:7<625-635x 0028-4793
8564 8u https://gup.ub.gu.se/publication/265106
8564 8u https://doi.org/10.1056/NEJMoa1710504

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